- Developmental Dysplasia DDH
- Femoroacetabular Impingement
- Fractures of the Hip and Surgical Repairs Articles
- Hip Dislocation
- Hip Dysplasia in children.
- Hip Fracture – The Unexpected by Dr. Bromson
- Hip Fractures
- Hip Joint Problems and Medical Treatments
- Hip Problem Information and Solutions
- Legg-Calve’-Perthes Disease
- Nerve palsy in total hip replacement
- Screening Could Catch a Quarter of Hip Fractures Before They Happen Study 2017
- Test kit to speed diagnosis of joint replacement infections wins De Novo
- What is Ankylosing Spondylitis
A new study published today in The Lancet reveals that a simple questionnaire, combined with bone mineral density measurements for some, would help identify those at risk of hip fracture.
Approximately one in three women and one in five men aged over 50 year will suffer a fragility fracture during their remaining lifetime. In the UK around 536,000 people suffer fragility fractures each year, including 79,000 hip fractures…
…A total of 12,483 women aged 70-85 were recruited from 100 GP practices in seven regions (Birmingham, Bristol, Manchester, Norwich, Sheffield, Southampton, and York)…
…The study suggests that one hip fracture could be prevented for every 111 women screened and early analysis suggests the approach is likely to be cost-effective…
…”Ten of thousands of people a year present with hip fractures in the UK. As well as significantly increasing mortality, a hip fracture can stop a person’s ability …
Read Complete Article Here: http://www.orthosupersite.com/view.asp?rID=25738
LAHAINA, Hawaii – While the overall incidence of nerve palsy resulting from total hip replacement remains low, patients undergoing revision surgery have a threefold risk for nerve injury, and women are at a higher risk than men.
Thomas P. Schmalzried, MD, of St. Vincent Medical Center in Los Angeles, said that in an analysis he conducted with colleagues S. Noordin, MD, and Harlan C. Amstutz, MD, of more than 34,000 total hip replacements (primary and revision), there were 359 nerve palsies — a 1% overall prevalence. However, the incidence among revision surgeries escalated to 2.5%, (0.9% for primary cases), and patients with developmental dysplasia of the hip (DDH) demonstrated a 5% risk for nerve palsy.
Even more alarming: nerve palsy occurred in women nearly twice as much as men…
Legg-Calvé-Perthes disease is a rare disease of the hip that afflicts approximately 1 in 1200 children. Of those children, only about one in four are girls. About 5% of all diagnosed develop the disease in both hips (bilaterally). Most of these children are very active and often very athletic. The age of diagnosis is usually between 2 and 12 years old, with the average age of 6. Legg-Calve’-Perthes children tend to be of shorter stature due to delayed bone age.
Legg-Calvé-Perthes disease (LCPD) is a form of osteonecrosis of the hip that is found only in children. It is known by a few other names such as ischemic necrosis of the hip, coxa plana, osteochondritis and avascular necrosis of the femoral head. Most commonly it is called Legg-Perthes disease, LCPD, or Perthes.
LCPD is of unknown origin. It is known that bone death occurs in the ball of the hip …
A hip dislocation occurs when the head of the thighbone (femur) slips out of its socket in the hip bone (pelvis). In approximately 90% of patients, the thighbone is pushed out of its socket in a backwards direction (posterior dislocation). This leaves the hip in a fixed position, bent and twisted in toward the middle of the body. The thighbone can also slip out of its socket in a forward direction (anterior dislocation). If this occurs, the hip will be bent only slightly, and the leg will twist out and away from the middle of the body.A hip dislocation is very painful. Patients are unable to move the leg and, if there is nerve damage, may not have any feeling in the foot or ankle area.
CausesThe hip is a ball-and-socket joint: the ball-shaped head of the femur fits inside a cup-shaped socket in the pelvis. The structure of …
Hip Dysplasia is a comprehensive term that has been used to include a spectrum of related developmental hip problems in infants and children, often present at birth. The following are typical dysplasia problems.
- Congenital hip dislocation – where the hip is frankly dislocated at birth
- Congenital dislocatable hip – where the hip is in place at birth, but dislocates fully when stressed
- Congenital subluxatable hip – where the hip is in place, but dislocates partially when stressed
- Acetabular dysplasia – where the hip socket is shallow and remains shallow, so that the hip is unstable
- Developmental dysplasia (or dislocation) of the hip – a more recent term, to reflect the fact that there are cases that have apparently normal hips at birth, but develop the problem in the first year of life
No one knows for sure what causes Hip Dysplasia, but multiple factors are probably involved.
Incidence is 4 …
The Unexpected Can Often Lead To A Serious Medical Problem – Even A Hip Replacement!
By Mark Bromson, M.D.When you think of serious health problems, you probably think of cancer, Alzheimer’s disease, or a heart attack. I doubt that a hip fracture is at the top of your list. But a hip fracture can be problematic and even fatal.When you suffer a hip fracture, especially when you’re older, there’s a good chance that you will lose your independence. Many people never recover completely from such a fracture and require assistance to complete daily tasks like getting dressed or preparing a meal.Even worse, up to 20% of people who suffer a hip fracture die within the following year.Three Steps to Reduce Your Risk of Hip FractureWhen it comes to hip fractures, reducing your risk is key.Step One:Your first line of defense is strong bones. You can …
Femoroacetabular ImpingementUpdated 7/2/09
Evidence is emerging that subtle morphologic abnormalities around the hip, resulting in femoroacetabular impingement, may be a contributing factor in some instances to osteoarthritis in the young patient. The morphologic abnormalities result in abnormal contact between the femoral neck/head and the acetabular margin, causing tearing of the labrum and avulsion of the underlying cartilage region, continued deterioration, and eventual onset of arthritis. Nonsurgical treatment typically fails to control symptoms. Surgical management involves dislocation of the hip (while preserving the blood supply to the femoral head) and femoroacetabular osteoplasty. Encouraging results have been reported following femoroacetabular osteoplasty and arthroscopic treatment of femoroacetabular impingement.
Javad Parvizi, MD, FRCS, Michael Leunig, MD and Reinhold Ganz, MD Dr. Parvizi is Associate Professor, Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA. Dr. Leunig is Associate Professor, Department of Orthopedic Surgery, Balgarist University Hospital, Zurich, Switzerland. Dr. Ganz is Professor, Department of …